What is the typical course? | Neuroborreliosis – What is it?

What is the typical course?

One distinguishes 3 stages. In the first stage, skin changes develop at the site of the tick bite. In some cases, there may also be red, raised skin appearing on other parts of the body.

Accompanying symptoms may include increased temperature, fatigue, general feeling of illness, headache and muscle pain, swelling of the liver and spleen, conjunctivitis and blood in the urine. In this phase the “liquor”, the liquor, is inconspicuous. The 1st stage lasts from a few weeks to months.

One month after the tick bite, the first stage moves on to the second. Now the disease generalizes. The skin symptoms persist.

In addition, those affected often complain of very severe radicular pain in the trunk and in the arms and legs. About 2 weeks after the onset of the pain, paralysis occurs, usually affecting the facial muscles and a specific eye muscle that turns the eyes outwards. In addition, there may be muscle and joint pain, as well as damage to the eyes, liver and heart.

In the third stage, the above mentioned chronic complaints develop. At about 5-10%, neuroborreliosis enters a third stage. In this stage a chronically progressive inflammation of the spinal cord and the brain develops, which causes characteristic symptoms.

In technical jargon, this is also referred to as progressive encephalomyelitis. This can occur in phases and last for months or years. Chronic neuroborreliosis can be recognized by various cognitive limitations, as well as speech, hearing, gait, coordination, movement and bladder emptying disorders.

An inflammation of the blood vessels can lead to a stroke. In addition, a sensory disorder can develop with numbness and sensory deficiencies. This is also known as chronic polyneuropathy.

In rare cases, chronic seizures, hallucinations and disturbances of consciousness can also occur. There are 3 stages of neuroborreliosis, in which typical symptoms appear The 1st stage is also called local infection stage. This means that in this stage a local infection occurs.

The 2nd stage is also called generalization or spreading stage. In this stage the pathogen reaches other parts of the body through the blood. Stage 3 is the late stage